Traumatic enlargement of an intradiploic cavernous hemangioma

Mahore, Amit; Ramdasi, Raghvendra; Pauranik, Anvita; Goel, Naina

doi:10.4103/1817-1745.131502

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…As the diploë present such a great risk for spreading infection there is potential for more complex lymphatic communication across this space [5,16]. The CSF is filtered through arachnoid granulations that indent into the diploë [5].…”

Section: Reviewmentioning

confidence: 99%

The Diploic Veins: A Comprehensive Review with Clinical Applications

Lachkar¹,

Dols²,

Ishak³

et al. 2019

Cureus

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Section: Reviewmentioning

confidence: 99%

The Diploic Veins: A Comprehensive Review with Clinical Applications

Lachkar¹,

Dols²,

Ishak³

et al. 2019

Cureus

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Pediatric cranial intraosseous hemangiomas: a review

Prasad

Pai

2016

Neurosurg Rev

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Hemangiomas are benign, slow-growing tumors composed of sinusoidal blood vessels. Skeletal hemangiomas are uncommon and are mostly vertebral, followed by cranial in location. Cranial hemangiomas are very rarely encountered in children. Authors report a 12-year girl who presented with a painless enlarging mass over the parietal scalp for 3 months. Imaging revealed a left parietal intraosseous lytic mass with a sunburst appearance. Enbloc removal and cranioplasty was performed, and histopathology was suggestive of hemangioma. We reviewed the literature on pediatric cranial intraosseous hemangiomas (PCIH) (age ≤18 years) by searching online database. Including ours, a total of 24 cases were analyzed. Mean age was 10.2 years (range 4 months-17 years). Eight were in the first decade and 16 were in the second decade. Male:female ratio was 12:12 (1:1). A painless palpable mass was the commonest presenting feature. Parietal and frontal bones were most commonly involved. Intracranial extension was noted in cases. Mean size of the lesion was 5 cm (range 1-12 cm). Twenty-two underwent primary surgical removal while two had additional pre-operative embolization. Surgical procedures were craniectomy alone (n-3), craniectomy + cranioplasty (n-6), tumor excision + remodeling (n-3), and tumor debulking (n-2). Histopathology was cavernous type in majority of cases. Mean follow-up duration was 11.8 months (range 2-38 months). There were no recurrences. One patient died due to systemic infection. Ours is the first review exclusively on PCIH. Although rare, they need to be considered in the differential diagnosis of lytic skull lesions in children. Enbloc removal with cranioplasty is the preferred treatment in vault hemangiomas, while embolization followed by debulking would suffice in large cranial base lesions.

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